1. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $14.03 to $14.53, inclusive. The reporting person undertakes to provide to Patriot National, Inc., any security holder of Patriot National, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the numbers of shares purchased at each separate price within the range set forth in this footnote to this Form 4.

2. The option vests in three equal annual installments beginning on January 15, 2016.

Remarks:

President of Patriot Care Management, Inc.

/s/ Christopher A. Pesch, by power of attorney

12/01/2015

** Signature of Reporting Person

Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v).